scholarly journals Effect of communication skills training program for oncologists based on patient preferences for communicating bad news

2015 ◽  
Vol 26 ◽  
pp. vii24
Author(s):  
Maiko Fujimori
2013 ◽  
Vol 12 (5) ◽  
pp. 379-386 ◽  
Author(s):  
Maiko Fujimori ◽  
Yuki Shirai ◽  
Mariko Asai ◽  
Nobuya Akizuki ◽  
Noriyuki Katsumata ◽  
...  

AbstractObjective:The purposes of this study were to develop a communication skills training (CST) workshop program based on patient preferences, and to evaluate preliminary feasibility of the CST program on the objective performances of physicians and the subjective ratings of their confidence about the communication with patients at the pre- and post-CST.Methods:The CST program was developed, based on the previous surveys on patient preferences (setting up the supporting environment of the interview, making consideration for how to deliver bad news, discussing about additional information, and provision of reassurance and emotional support) and addressing the patient's emotion with empathic responses, and stressing the oncologists' emotional support. The program was participants' centered approach, consisted a didactic lecture, role plays with simulated patients, discussions and an ice-breaking; a total of 2-days. To evaluate feasibility of the newly developed CST program, oncologists who participated it were assessed their communication performances (behaviors and utterances) during simulated consultation at the pre- and post-CST. Participants also rated their confidence communicating with patients at the pre-, post-, and 3-months after CST, burnout at pre and 3 months after CST, and the helpfulness of the program at post-CST.Results:Sixteen oncologists attended a newly developed CST. A comparison of pre-post measures showed improvement of oncologists' communication performances, especially skills of emotional support and consideration for how to deliver information. Their confidence in communicating bad news was rated higher score at post-CST than at pre-CST and was persisted at 3-months after the CST. Emotional exhaustion scores decreased at 3-months after CST. In addition, oncologists rated high satisfaction with all components of the program.Significance of results:This pilot study suggests that the newly developed CST program based on patient preferences seemed feasible and potentially effective on improving oncologists' communication behaviors what patients prefer and confidence in communicating with patients.


2014 ◽  
Vol 32 (20) ◽  
pp. 2166-2172 ◽  
Author(s):  
Maiko Fujimori ◽  
Yuki Shirai ◽  
Mariko Asai ◽  
Kaoru Kubota ◽  
Noriyuki Katsumata ◽  
...  

Purpose The aim of this study was to identify the effects of a communication skills training (CST) program for oncologists, developed based on patient preferences regarding oncologists' communication. Participants and Methods Thirty oncologists were randomly assigned to either an intervention group (IG; 2-day CST workshop) or control group (CG). Participants were assessed on their communication performance during simulated consultation and their confidence in communicating with patients at baseline and follow-up. A total of 1,192 patients (response rate, 84.6%) who had consultations with the participating oncologists at baseline and/or follow-up were assessed regarding their distress using the Hospital Anxiety and Depression Scale, satisfaction with the consultation, and trust in their oncologist after the consultation. Results At the follow-up survey, the performance scores of the IG had improved significantly, in terms of their emotional support (P = .011), setting up a supportive environment (P = .002), and ability to deliver information (P = .001), compared with those of the CG. Oncologists in the IG were rated higher at follow-up than those in the CG in terms of their confidence in themselves (P = .001). Patients who met with oncologists after they had undergone the CST were significantly less depressed than those who met with oncologists in the CG (P = .027). However, the CST program did not affect patient satisfaction with oncologists' style of communication. Conclusion A CST program based on patient preferences is effective for both oncologists and patients with cancer. Oncologists should consider CST as an approach to enhancing their communication skills.


2020 ◽  
Vol 103 (11) ◽  
pp. 2384-2387
Author(s):  
Roger Ruiz Moral ◽  
Cristina Andrade-Rosa ◽  
Juan D Molina Martín ◽  
Emilio Cervera Barba ◽  
Luis Pérula de Torres ◽  
...  

2013 ◽  
Vol 93 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Julie Meunier ◽  
Isabelle Merckaert ◽  
Yves Libert ◽  
Nicole Delvaux ◽  
Anne-Marie Etienne ◽  
...  

Author(s):  
Isabelle Merckaert ◽  
Yves Libert ◽  
Aurore Liénard ◽  
Darius Razavi

Relatives are omnipresent in cancer care and commonly accompany cancer patients to physician consultations, increasing the complexity of the resultant communication. Relatives can provide important collaborative history, support, and advocate for their loved one, as well as have their own needs addressed. Relatives may also desire to protect their loved ones, and challenges arise if they invite the clinician to collude in keeping secrets. Optimally including relatives in a consultation is a complex task. Specific skills—for instance, asking permission, using circular questions and offering summaries—can enrich triadic communication. When breaking bad news, strategies for three-person consultations that have been used in communication skills training deliver benefits to both patients and their relatives. The successful accomplishment of three-person consultations is one hallmark of the mature clinician. It requires skill and time, but can certainly promote optimal patient care.


Author(s):  
Anita Roberts

This chapter discusses effective communication in the last days or hours of life. It describes communication including verbal, non-verbal, and paralinguistic elements together with how to structure complex conversations. It recognizes the importance of communication when a person is expected to die within the coming days or hours. Sensitive communication is essential when dealing with uncertainty inherent at this time and strategies are identified to enable clinicians to elicit the needs and concerns of patients and families. The chapter also examines how the priorities for the care of the dying person can be ascertained. Strategies for giving information and discussing care in a sensitive and supportive manner are described, including how to assess informational needs, effective ways to break bad news, and ways of responding to difficult questions. Finally, the importance of having a competent workforce is recognized and some communication skills training opportunities for healthcare staff are discussed.


2020 ◽  
Vol 158 (6) ◽  
pp. S-265
Author(s):  
Anh D. Nguyen ◽  
Caitlin H. Siropaides ◽  
Amar Bansal ◽  
Zachariah Hoydich ◽  
Julie Childers

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